Attachment__2_Contract_Data_Requirements_Lists.pdf

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Systems Furniture Installation Services - Sole Source
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N66604-17-Q-1091
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Attachment #2 Contract Data Requirements Lists

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CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP TM OTHER X

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Facilities Systems Code 1021 1300526643

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 TECHNICAL REPORT – COST ESTIMATE/SERVICES TECHNICAL – COST ESTIMATE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI–MISC–80508B SOW tasks: 4.1 NUWCDIVNPT Code 1021 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ/R SEE BLOCK 16 b. COPIES

8. APP CODE D

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A See Addendum N/A SEE BLOCK 16 Reg Repr o

16. REMARKS

CODE 1021 1 1 0

Block 10, 12, 13, The Contractor shall submit estimates w/i

5 days of the first request. Government will review w/n

5 days. The contractor shall submit final 5 days after

Government review and comments.

15. TOTAL 1 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A002 TECHNICAL REPORTS INVENTORY REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI–MISC–80508B SOW task: 4.3 NUWCDIVNPT CODE 1021 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ/R SEE BLK 16 b. COPIES

a. ADDRESSEE Draft Final

A See Addendum N/A SEE BLK 16 Reg Repr

16. REMARKS CODE 1021 1 0

Block 4 – Contractors format, Block 10, 12, 13, The Contractor shall submit inventory report in the

Contractor’s format until the Government initiates

The digital inventory management system.

15. TOTAL 1 0

G. PREPARED BY

GAIL MONTAGUE

H. DATE

7/6/17

I. APPROVED BY

J. DATE

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP TM OTHER X

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Facilities Systems Code 1021 1300526643

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A003 Damages Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI_ADMN-81373 SOW tasks: 4.2.6 NUWCDIVNPT Code 1021 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ/R SEE BLOCK 16 b. COPIES

a. ADDRESSEE Draft Final

A See Addendum N/A SEE BLOCK 16 Reg Repr

CODE 1021 1 1 0

Block 10, 12, 13, The Contractor shall submit supporting documents (e.g., narrative, photos) as required by occurrence.

15. TOTAL 1 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

INTENTIONALLY LEFT BLANK

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED b. COPIES

8. APP CODE

a. ADDRESSEE Draft Final

Reg Repr

15. TOTAL

G. PREPARED BY

H. DATE

7/6/17

I. APPROVED BY

J. DATE

DD Form 1423-2, AUG 96 (EG)

PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages

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